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Ryoikibetsu Shokogun Shirizu 2003
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The American Journal of Medicine Oct 1994We describe two new forms of pica associated with iron deficiency and a new variant of a third. Previous reports on pica are tabulated. The value of a sympathetic,... (Review)
Review
We describe two new forms of pica associated with iron deficiency and a new variant of a third. Previous reports on pica are tabulated. The value of a sympathetic, nonjudgmental approach to eliciting the medical history is emphasized.
Topics: Adult; Anemia, Iron-Deficiency; Female; Humans; Male; Medical History Taking; Pica
PubMed: 7942944
DOI: 10.1016/0002-9343(94)90309-3 -
British Medical Journal Jan 1948
Topics: Pica
PubMed: 18920014
DOI: 10.1136/bmj.1.4539.28 -
Current Opinion in Psychiatry Nov 2021This article reviews available assessment instruments for three of the feeding and eating disorder diagnostic categories: avoidant restrictive food intake disorder... (Review)
Review
PURPOSE OF REVIEW
This article reviews available assessment instruments for three of the feeding and eating disorder diagnostic categories: avoidant restrictive food intake disorder (ARFID), pica, and rumination disorder (RD). It includes an overview of the current status of screening tools, questionnaire measures, and diagnostic instruments.
RECENT FINDINGS
Screening instruments are available for all three disorders; however, for pica and RD, these typically include single screening items only and do not cover any specific features of these presentations. Only one questionnaire suitable for clinical populations is included, covering ARFID only. Standardized diagnostic interviews are limited to two covering both pica and RD, only one of which provides further clinical information. Of the five diagnostic instruments for ARFID described here, two include diagnostic items as well as allowing more detailed assessment of clinical features.
SUMMARY
There are a limited number of assessment measures available for all three disorders, with instruments for ARFID being the greatest in number and widest in terms of scope. A commonly encountered difficulty is that many assessment instruments do not adequately cover diagnostic exclusion criteria, which raises the likelihood of false positive findings. All currently available measures require further study to determine their reliability and validity.
Topics: Avoidant Restrictive Food Intake Disorder; Feeding and Eating Disorders; Humans; Pica; Reproducibility of Results; Rumination Syndrome; Surveys and Questionnaires
PubMed: 34402460
DOI: 10.1097/YCO.0000000000000736 -
Public Health Reports (Washington, D.C.... 1990Pica is an eating disorder that is manifested by a craving for oral ingestion of a given substance that is unusual in kind and or quantity. It is a long-standing... (Review)
Review
Pica is an eating disorder that is manifested by a craving for oral ingestion of a given substance that is unusual in kind and or quantity. It is a long-standing practice that has far reaching implications for prevention and treatment--implications for public health as well as clinical personnel who work in settings where they have the potential for influencing health knowledge, attitudes, and behaviors of their patients. Pica practices also challenge researchers and social scientists whose work encompass development and refinement of models related to nutritional deficiencies. The body of literature on pica is so fragmented that it is difficult to find a precise summary of the knowns and unknowns about the condition. There is little consistency in defining pica, classifying substances ingested, identifying key characteristics of practicers, recommending treatment, or in projecting outcomes. This review presents a framework for understanding pica as a general practice, summarizes divergent reported hypotheses and conclusions, and illustrates that there is a need for more comprehensive studies of prevalence and incidence and use of deductive as well as inductive research processes.
Topics: Adult; Child, Preschool; Ethnicity; Feeding Behavior; Female; Humans; Pica; Pregnancy; Pregnancy Complications; Socialization; Terminology as Topic
PubMed: 2106702
DOI: No ID Found -
Actas Espanolas de Psiquiatria Mar 2020
Topics: Adult; Anemia, Iron-Deficiency; Depression; Feeding and Eating Disorders; Female; Fluoxetine; Humans; Obsessive-Compulsive Disorder; Pica; Recurrence; Selective Serotonin Reuptake Inhibitors; Spain
PubMed: 32463916
DOI: No ID Found -
American Family Physician May 1986Pica is the persistent, compulsive ingestion of food or nonfood substances. It is a worldwide problem that has no barriers of age, race, sex or geographic region. Its...
Pica is the persistent, compulsive ingestion of food or nonfood substances. It is a worldwide problem that has no barriers of age, race, sex or geographic region. Its high prevalence in the United States is largely unrecognized. Causes and risk factors for pica are not well established, although mineral deficiencies and culturally ingrained food preferences play a role. For diagnosis, pica must be suspected and sought. Physicians must be aware that pica can be cured and that prevention can be lifesaving.
Topics: Adult; Age Factors; Anemia, Hypochromic; Child; Cross-Sectional Studies; Female; Humans; Infant; Male; Pica; Pregnancy; Risk; Stress, Psychological; United States
PubMed: 3486579
DOI: No ID Found -
Research in Developmental Disabilities 2012Pica is a dangerous form of self-injurious behavior that occurs in people with developmental disabilities who are institutionalized. Studies also indicate that pica has... (Review)
Review
Pica is a dangerous form of self-injurious behavior that occurs in people with developmental disabilities who are institutionalized. Studies also indicate that pica has led to the death of people with developmental disabilities. While a number of published studies have demonstrated that pica behavior can be decreased substantially with behavioral treatment, few of these studies incorporated strategies for generalization and maintenance outside of brief sessions. A second limitation of current research is that some studies reduced pica substantially, but pica responses still occurred at rates that are problematic in terms of prevention of adverse consequences, which leaves practitioners with the task of further decreasing pica to protect people exhibiting pica from harm. We make recommendations for assessment, treatment, and prevention of pica for practitioners. These recommendations are based on two extensive reviews of the literature and our extensive experience as practitioners in the treatment of pica. Our hope is that administrators, professionals and practitioners will consider our guidelines and recommendations as they attempt to protect people with pica and developmental disabilities from harm by developing standards for assessment, treatment and prevention for this difficult-to-treat population. Our hope is that children with pica will receive early intervention to prevent pica from developing into life-threatening behavior.
Topics: Behavior Therapy; Developmental Disabilities; Humans; Mass Screening; Pica; Social Environment; Treatment Outcome
PubMed: 22750361
DOI: 10.1016/j.ridd.2012.04.001 -
Identifying empirically supported treatments for pica in individuals with intellectual disabilities.Research in Developmental Disabilities 2011The purpose of the current study was to critically examine the existing literature on the treatment of pica displayed by individuals with intellectual disabilities.... (Review)
Review
The purpose of the current study was to critically examine the existing literature on the treatment of pica displayed by individuals with intellectual disabilities. Criteria for empirically supported treatments as described by Divisions 12 and 16 of APA, and adapted for studies employing single-case designs were used to review this body of literature. A total of 34 treatment studies were identified, 25 of which were well designed and reported at least an 80% reduction in pica (21 studies reported 90% or greater reduction in pica). Results indicated that behavioral treatments in general, and treatments involving the combination of reinforcement and response reduction procedures in particular, can be designated as well-established treatments for pica exhibited by individuals with intellectual disabilities.
Topics: Behavior Therapy; Evidence-Based Practice; Humans; Intellectual Disability; Pica
PubMed: 21862281
DOI: 10.1016/j.ridd.2011.07.042 -
Harefuah Aug 2000
Review
Topics: Female; Humans; Pica; Pregnancy; Pregnancy Complications
PubMed: 10979477
DOI: No ID Found